Gibson, William James

Gibson, William James is an individual health care provider with primary practice located at 10 North Main St Family Counseling Services, Cortland NY 13045. He recently has only one registered license in Behavioral Health & Social Service Providers / Counseling, which is considered as his primary health care specialty. Gibson, William James can be contacted via phone (607) 753-0234.

Contact Information

Primary practice address
10 North Main St Family Counseling Services Cortland NY 13045
Phone: (607) 753-0234
Fax: (607) 753-0286
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counseling 103TC1900X 5314214

Profile Details

NPI number 1205925807
LBN Legal business name Gibson, William James
Credentials LMSW LICENSE 5314214
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 12th, 2006
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205925807 NPPES
New York MEDICAID 01079267

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